Download Appendix F AMEDD GUIDELINE IMPLEMENTATION TOOLKITS 85

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Appendix F
AMEDD GUIDELINE IMPLEMENTATION TOOLKITS
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TOOLS FOR THE LOW BACK PAIN GUIDELINE:
Documentation Form for Clinic Visit
Model Back Class Instructions and Materials
Patient Education Video: A Healthy Back for Life
Provider Education Video: Back Pain Lecture and Exam
Low Back Pain Patient Education Pamphlets (in English, Spanish, Korean, German)
3” × 5” Laminated Pocket Card — Key Elements of the DoD/VA Practice Guidelines for
Primary Care Management of Low Back Pain
8 1/2” × 11” Laminated Card — Diagnosis and Management of Low Back Pain
Comparative Pricing Table for Pain Medications
Standard Profile for Active Duty Personnel with Acute Low Back Pain
TOOLS FOR THE ASTHMA GUIDELINE:
Documentation Form for Asthma Clinic Visit
Patient Action Plan
Master Problem List
Key Points Pocket Card
Desktop Reference Card
Peak Flow Meter
Spirometer and Pulse Oximeter
Patient Education Brochures: Asthma Basics: American Red Cross
Managing Your Asthma: A Patient Guide
Patient Reminder Card
CD-ROMs: Breathing Freely (Patient Education); TABS (Provider Education)
Videos: “Sesame Street” (English and Spanish), by the American Lung Association
“Environmental Control," (English and Spanish), by GlaxoWellcome
“Taking Charge of Asthma," by GlaxoWellcome
“Roxy to the Rescue," by AwareCareResources for Health AstraZeneca
TOOLS FOR THE DIABETES GUIDELINE:
Documentation Form for Diabetes Clinic Visit
Diabetes Flow Sheet
Patient Self-Management Action Plan
Booklet — Managing Your Diabetes
American Association of Diabetes Educators Videos:
Introduction to Diabetes: The Game Plan
Basic Skills for Controlling Diabetes, American Association of Diabetes Educators
3” × 5” Laminated Card — Key Elements in the Care of Patients with Diabetes
8 1/2” × 11” Laminated Card — Key Elements in the Care of Patients with Diabetes
CD-ROM - Starbright Foundation
Novo Nordisk Pharmaceuticals brochures/booklets (English and Spanish)